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Experienced Liability Claims Representative II

Experienced Liability Claims Representative II

CompanyCCMSI
LocationAltamonte Springs, FL, USA
Salary$70000 – $84500
TypeFull-Time
Degrees
Experience LevelSenior, Expert or higher

Requirements

  • 5-10 years of ML claim handling experience
  • Florida adjuster’s license
  • Excellent oral and written communication skills
  • Strong organizational abilities
  • Ability to coordinate and prioritize
  • Flexibility, initiative, and ability to work with minimal supervision
  • Discretion and confidentiality
  • Ability to work as a team member in a rapidly changing environment
  • Reliable, predictable attendance within client service hours
  • Responsive to internal and external client needs
  • Ability to clearly communicate verbally and/or in writing both internally and externally

Responsibilities

  • Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision
  • Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution
  • Authorize and make payment of liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority
  • Negotiate settlements with claimants and attorneys in accordance with client’s authorization
  • Assist in selection and supervision of defense attorneys
  • Assess and monitor subrogation claims for resolution
  • Prepare reports detailing claims, payments and reserves
  • Provide reports and monitor files, as required by excess insurers
  • Compliance with Service Commitments as established by team
  • Delivery of quality claim service to clients
  • Performs other duties as assigned

Preferred Qualifications

  • Previous experience handling claims in Connecticut, Iowa, Pennsylvania, South Carolina, Tennessee, Virginia, Georgia, Maryland, and Alabama
  • Expertise in managing sexual abuse and misconduct liability claims involving facility patients
  • Experience in multiple jurisdictions regarding litigation matters
  • Experience with municipalities, pharmacy, GL, nonprofit
  • Knowledge of Florida Sovereign Immunity statute